Resources

The services listed below may require precertification for your Blue Cross patients including those with Blue Advantage plans. To see if precertification is needed for a patient, check eligibility and benefits through ProviderAccess.

Precertification requirements are subject to change at any time so it's important to check eligibility requirements for the specific date of service for the procedure or equipment.

Advanced Imaging

Blue Advantage Part B Provider-Administered Drugs

Cancer Treatment Pathways (Medical Oncology)

Chiropractic

Durable Medical Equipment (DME) 

Genetic Testing

Home Health

Home Infusion

Hospice

Provider-Administered Drugs

Radiation Therapy

Surgical Services

Therapy - Occupational, Physical, Speech

Online Tutorials

Note: These videos contain examples and are intended for demonstration purposes only. Not all services requiring precertification are included. View a list of procedure codes for Surgical Services Requiring Precertification.

To determine whether precertification is needed for a patient, always check eligibility and benefits through ProviderAccess. 
 

Services Requiring Precertification
January 2021

Services Requiring Precertification - Out-of-State Providers
January 2021